2021—2023年四川省职业卫生技术服务机构定期检测报告质量监测结果分析  

Analysis of the quality monitoring results of periodic inspection reports of occupational health technical service agencies in Sichuan Province from 2021 to 2023

作　　者：杜秋霞[1] 卢响响 李霞 吴玺 舒逍 周彪 储卫忠 DU Qiuxia;LU Xiangxiang;LI Xia;WU Xi;SHU Xiao;ZHOU Biao;CHU Weizhong(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《职业卫生与病伤》2024年第5期298-303,共6页Occupational Health and Damage

摘　　要：目的 通过对2021—2023年四川省职业卫生技术服务机构质量监测结果分析,了解全省职业卫生技术服务机构的基本情况和技术服务质量,为卫生健康行政部门开展职业卫生技术服务监督管理提供技术依据。方法 抽取2021—2023年四川省51家职业卫生技术服务机构出具的86份定期检测报告,通过报告材料审查和企业现场复核进行综合评分,对存在的问题提出整改建议。采用SPSS 23.0软件统计分析,率的比较采用卡方检验或Fisher确切概率法检验,检验水准为α=0.05(双侧)。结果 2021—2023年四川省86份定期检测报告优秀、合格和不合格占比分别为15.12%、82.56%和2.33%,定期检测报告监测结果差异具有统计学意义(P=0.001);民营机构出具的定期检测报告优秀、合格率高于公立机构,但差异无统计学意义(P=0.094),职业病危害风险分类为严重的定期检测报告优秀率(18.33%)高于风险为一般的报告,但差异无统计学意义(P=0.387)。2022年四川省职业卫生技术服务机构定期检测报告规范性得分率≥90%(χ^(2)=7.952,P=0.011)、评估检查得分率≥90%占比均高于2023年(χ^(2)=5.556,P=0.018),职业病危害风险分类为严重的报告用人单位现场核查得分率≥90%高于一般的(χ^(2)=6.445,P=0.011)。结论 2021—2023年四川省职业卫生技术服务机构定期检测报告质量总体水平较高,但现场调查不全,质量管理体系不规范,应强化人员业务培训,提升专业水平,加强质量管理,规范服务行为。Objective To analyze the quality monitoring results of occupational health technical service institutions in Sichuan Province from 2021 to 2023,to understand the basic situation and technical service quality of occupational health technical service institutions in the province,and to provide technical basis for the health administration department to carry out supervision and management of occupational health technical service.Methods A total of 86 periodic inspection reports issued by 51 occupational health technical service agencies in Sichuan Province from 2021 to 2023 were selected,and comprehensive scores were made through the review of report materials and on-site review of enterprises.Rectification suggestions were put forward for existing problems.SPSS 23.0 software was used for statistical analysis,and the rates were compared by Chi-square test or Fisher's exact probability test with a test level ofα=0.05(two-sided).Results From 2021 to 2023,the proportion of excellent,qualified and unqualified reports in the 86 periodic inspection reports in Sichuan Province accounted for 15.12%,82.56%and 2.33%,respectively,and there were significant differences in the monitoring results of periodic inspection reports(P=0.001).The periodic test reports issued by private institutions had higher excellent and qualified rates than those of public institutions,but there was no significant difference(P=0.094).The excellent rate(18.33%)of the periodic test reports which classified the risk of occupational disease as serious was higher than that of the reports which classified the risk as general,but the difference was not statistically significant(P=0.387).In 2022,the percentage of the normative score rate≥90%(χ^(2)=7.952,P=0.011)and the percentage of the score rate of evaluation and inspection≥90%(χ^(2)=5.556,P=0.018)of the periodic test reports by occupational health technical service agencies in Sichuan Province were higher than those in 2023.The percentage of on-site examination scoring≥90%of the periodic test re

关 键 词：职业卫生 技术服务机构 质量监测 

分 类 号：R132[医药卫生—劳动卫生]